Individual provider Active NPI

Lisa Saldarriaga, DMD

  • General Practice Dentistry
  • Plantation,, FL
National Provider Identifier
1588979710
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 18616 Issued in FL
Practice address
9244 North West 9TH Court,
9244 North West 9 H Court,
Plantation,, FL 33324-1150
Phone
(954) 547-5278
NPI assigned
Aug 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN 18616 FL Primary

Addresses

Primary practice location

9244 North West 9TH Court,
9244 North West 9 H Court,
Plantation,, FL 33324-1150

Mailing address

9244 NW 9TH CT
Plantation, FL 33324-1150
Phone (954) 547-5278

Other names 1

  • Lisa Saldarriaga Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160505002138 FL Order and Referring Only - DentistPractitioner - Dentist 3971802315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 18616FLMDGeneral Practice Dentistry

Networks

  • Freedom Health HMO Network

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281571200000",
    "number": "1588979710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9244 NW 9TH CT",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241150",
            "telephone_number": "954-547-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9244 NORTH WEST 9TH COURT,",
            "address_2": "9244 NORTH WEST 9 H COURT,",
            "city": "PLANTATION,",
            "state": "FL",
            "postal_code": "333241150",
            "telephone_number": "954-547-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALDARRIAGA",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-12",
        "last_updated": "2010-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 18616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "SALDARRIAGA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Plantation,, FL

Sources for this page

Verify at the official NPI Registry.